Individual
EMILY EMANUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
2125 MAPLE LEAF LN NE, OWATONNA, MN 55060-6243
(507) 213-4979
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028613
NY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/14/2022
Last updated
07/08/2025
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